Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx Email and Phone Number
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx work email
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Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx personal email
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***No relocation for 5+ years, Remote/local opportunities (Duluth MN/Superior WI) ONLY please***Innovating population-health policy, initiative development and implementation strategies for medically complex individuals and their providers. Strong focus on client services, patient advocacy, provider outreach and education, consensus building, innovation, and linking diverse teams toward a shared goal. Staunch advocate familiar with the unique challenges faced by individuals with chronic medical and behavioral health conditions as well as direct experience in consultative services, academia, scholarship, service development, managed/coordinated care organizations (CCOs), population health analytics, lean process improvement, human-centered design, precision medicine (PGx), Medicare, Medicaid and public policy.Dr. Shirley served CareOregon (Medicare/Medicaid CCO) in a variety of professional capacities (2014-2018). Initially employed as a Medication Therapy Management Coordinator then promoted to Ambulatory Care Clinical Supervisor in 2015 (10 direct reports). CareOregon pharmacists (2) and residents (4) were embedded within 2 FQHC's establishing clinical services including collaborative prescriptive authority for Diabetes, Hypertension, ASCVD, Asthma/COPD and Smoking Cessation. Currently, NHC (FQHC) has 3 full-time pharmacist clinicians practicing in 3 NHC clinic locations. Also as the inaugural Residency Program Director for both PGY1 Managed Care & PGY2 Ambulatory Care programs, accreditation was awarded 2015 -2022.As P&T Clinical Coordinator for Oregon FFS Medicaid and as Clinical Pharmacist for Advanced Health CCO, Dr. Shirley focused upon policy development and implementation for medically complex patients (2019-2021). Dr. Shirley has also served as a Clinical Pharmacist with Community Health Plan of Washington in collaborative case management, policy development and behavioral health medication adherence outreach programs (2021-2022). Most recently, as Clinical Pharmacist Lead with Waymark Care, Dr. Shirley developed multidisciplinary virtual pharmacy care coordination for individuals with Medicaid (2022-2023).Licensed WA, OR, ID, PA, CA, MN, AK, MT, WI and preparing FL, MI, IL and NY licensure.Psychiatric and Pharmacotherapy dual board certified over 20 years.Given an inability to relocate due to her partner's USFS career, Dr. Shirley is open to patient care, population health, telehealth practice development, growth and implementation opportunities in addition to academic, forensic and clinical research consultation.
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Medical Leave And RecoveryDr Kara Shirley PllcDuluth, Mn, Us
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Clinical PharmacistPipelinerx Mar 2024 - PresentSan Francisco, Ca, Us
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Instructor (Registered Pharmacist Specialized Content Creator (Virtual))Burnalong Dec 2023 - Present -
Sensei/Mentor (Volunteer)Pharmacy Mentors Oct 2023 - Present“If you’re going to face a real challenge it has to be a real challenge. You can’t accomplish anything without the possibility of failure.” Lazarus Lake- The Barkley Marathons"Unlocking the power of remote mentorship, connecting pharmacists, technicians, and pharmacy students to actionable insights and knowledge." -
Clinical Pharmacy SpecialistRubiconmd Sep 2023 - PresentNew York, Ny, Us -
Network PharmacistRxmapper Sep 2023 - PresentScottsdale, Arizona, Us -
Clinical PharmacistAspen Rxhealth May 2023 - PresentTampa, Florida, Us -
Panel Expert, Project Echo Child Psychiatry (Freelance)Oregon Health And Science University Aug 2018 - Jun 2023Portland, Oregon, UsOne of eleven pharmacists internationally to hold Psychiatric, Pharmacotherapy and Ambulatory Care board certifications. concurrently. Driven to empower providers and patients through telemedicine and clinical consultation. As an invited OHSU Project ECHO expert faculty member (Child Psychiatry), she has also enthusiastically participated in weekly case discussion with approximately forty (40) primary care and pediatrician practices throughout the State of Oregon (2018-2023). -
Clinical Pharmacist Lead- Washington StateWaymark Sep 2022 - May 2023San Francisco, California, UsClinical Pharmacist Lead- Washington State (Medicaid Care Organization Contractor (CIN/ACO (FFS))• Coaching and improving primary care physicians' prescribing behaviors, redirecting care to cost-effective solutions, and providing education, medication titration, and support (including with PAs, complex infusions, and DME) to patients receiving Medicaid benefits.• Develop and test protocols and processes for pharmacists assisting primary care providers, community health workers, social workers, and care coordinators to improve care outcomes for patients receiving Medicaid• Communicate with patients and providers through multi-modal CRMs including multiple EHRs, text, phone, and video• Work with analytics and engineering teams to develop and use dashboards for pharmacists to proactively outreach patients• Participate in QI activities to assure quality, cost-effectiveness, and ROI• Potentially hire, mentor and supervise junior pharmacists and pharmacy technicians -
Clinical Pharmacist (Medicare/Medicaid)Community Health Plan Of Washington Mar 2021 - Sep 2022Seattle, Wa, UsWorking Each Day to Make a Difference At Community Health Plan of Washington, we’re driven by our belief that everyone deserves access to quality health care. We are a local not-for-profit health plan in Washington State. We are committed to keeping Washington families healthy. PRINCIPAL DUTIES: Performs clinical reviews for override requests and appeals Serves as a drug expert who will provide clinical consultation to Community Health Plan of Washington internal and external customers Performs clinical in-service to Community Health Plan of Washington internal or external customers as needed Supports evidence-based pharmacy clinical intervention programs Develops provider and member communication materials Monitors and audits activities performed by Community Health Plan of Washington’s pharmacy benefit manager to ensure compliance with regulatory, contractual and accreditation requirements Perform medication reviews and medication reconciliation for members and work within interdisciplinary care teams to support member clinical needs Support pharmacy clinical quality program initiatives Develops policy and procedures for pharmacy benefit management Monitors, identifies and addresses potential fraud, waste and abuse activities related to pharmacy Helps inform provider groups regarding adverse drug utilization trend to ensure appropriate medication use Assists in monitoring guidance from CMS and implementing required processes to ensure Part D compliance including CDAG and formulary administration Serves as a pharmacy point of contact for selected Community Health Plan of Washington’s delegated entities Supports clinical review for Patient Review and Coordination program to ensure appropriate care coordination and patient safety -
Inpatient Hospital Pharmacist (Pic Per Diem, Supplemental)Unity Center For Behavioral Health Aug 2019 - Feb 2022
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Cco PharmacistAdvanced Health Cco (Medicaid) Jun 2020 - Mar 2021Every employee shares the responsibility for achieving the Quadruple Aim of health care reform: member engagement and satisfaction, improving quality of care, managing costs, and honoring diversity and equity by focusing on the member doing what is right and thinking. JOB PURPOSE:This position is responsible for reviewing pharmacy claims and processing pharmacy prior authorizations.ESSENTIAL RESPONSIBILITIES: Coordinated Care Organization Pharmacy Benefit Coordination1. Maintain working knowledge related to members enrolled in the Oregon Health Plan (OHP)2. Work with Utilization Management Team including Chief Medical Officer, MD Reviewer, Manager of Medical Services and other staff as appropriate, to ensure that authorizations are processed according to organizational and State required guidelines3. Renders clinical decisions based on Oregon Administrative Rules, Line Finder (prioritized list), prior authorization criteria, and Advanced Health’s current formulary4. Acts as a liaison with pharmacy providers, medical providers, and third-party administrators (Pharmacy Benefit Administrator [PBM]) to ensure efficient processing of data and claims5. Manages the processing of all pharmacy claims through a PBM6. Analyzes claims for appropriateness of services and interprets benefits in accordance with established contracts7. As directed, assist with the maintenance of the Advanced Health Formulary8. Participate in quality and organizational process improvement activities and teams when requested9. Ensure compliance with company policies and procedures as applicable to area(s) of responsibility10. Handle confidential information and materials appropriately and maintains a secure work area
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P&T Clinical Coordinator/ Osu Drug Use Research & Management & Oregon Health Authority (Medicaid)Oregon State University College Of Pharmacy Jan 2019 - Jul 2019Corvallis, Oregon, Us -
Vice-Chair, Mental Health Clinical Advisory Group (Mhcag) (Legislative Appointment)Oregon Health Authority Jan 2018 - Jan 2019Salem, Oregon, UsOregon Health Authority Legislative Workgroup (HB 2300/SB 138), Governor appointed Member and Founding Vice Chair -
Ambulatory Care Clinical Pharmacy Coordinator For Behavioral Health (Cco Medicare & Medicaid)Careoregon Jan 2018 - Nov 2018Portland, Or, Us -
Ambulatory Care Coordinator In Behavioral Health &Pgy2 Residency Director (Medicare & Medicaid)Careoregon Jul 2017 - Dec 2017Portland, Or, Us
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Ambulatory Care Clinical Supervisor & Director, Pgy-2 Residency Programs (Cco Medicare & Medicaid)Careoregon Jul 2016 - Jul 2017Portland, Or, Us
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Founding Residency Program Director (Pgy1 & Pgy2) & Ambulatory Care Supervisor (Medicare & Medicaid)Careoregon Mar 2015 - Jul 2016Portland, Or, Us
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Medication Therapy Management Coordinator (Cco Medicare & Medicaid)Careoregon Oct 2014 - Mar 2015Portland, Or, Us
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Community PharmacistWalgreens Pharmacy Nov 2010 - Jan 2014Deerfield, Il, Us -
Community PharmacistTarget Dec 2007 - Nov 2010Minneapolis, Mn, Us -
Associate Professor Of Neuropsychiatric Pharmacy Practice (Founding Faculty)Husson University Oct 2008 - Sep 2010Bangor, Me, Us -
Lead Pharmacotherapy Specialist (Hospital Pharmacist)Upmc Western Psychiatric Institute And Clinic Jul 2007 - Sep 2008
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Adjunct Faculty & Director, Psychiatric Pharmacy Practice ResidencyUniversity Of Pittsburgh School Of Pharmacy Jul 2007 - Sep 2008Pittsburgh, Pa, Us -
Part-Time Floater PharmacistCvs Pharmacy Jan 2002 - Dec 2007Woonsocket, Ri, Us -
Adjunct FacultySage Graduate School Of Nursing Jan 2003 - Jul 2007
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Adjunct Faculty Department Of PsychiatryAlbany Medical College Jan 2002 - Jul 2007Pittsburgh, Pennsylvania, Us -
Assistant Professor Of Pharmacy Practice - Psychiatry & NeurologyAlbany College Of Pharmacy Oct 2001 - Jul 2007
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Neuropsychopharmacology Fellow & Clinical InstructorMercer University College Of Pharmacy & Center For Clinical Research Jul 2000 - Oct 2001
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Per Diem Pharmacist; San Antonio, Tx And Atlanta, GaWalgreens Pharmacy Jul 1999 - Oct 2001Deerfield, Il, Us
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Pgy2 Psychiatry Pharmacy Practice Resident & Instructor Univ. Of Tx At Austin School Of PharmacyUniversity Of Texas Health Science Center At San Antonio 1999 - 2000San Antonio, Tx, Us
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx Skills
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx Education Details
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University Of Rhode IslandPharmacy -
Mercer UniversityClinical Neuropsychopharmacology
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Ut Health San AntonioPsychiatric Pharmacy Practice Residency
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Tunkhannock Area High School
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Jewish Healthcare Foundation/Pittsburgh Healthcare InitiativeProcess Improvement
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University Of Colorado Skaggs School Of Pharmacy And Pharmaceutical SciencesPharmacogenomics And Precision Medicine
Frequently Asked Questions about Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx
What company does Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx work for?
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx works for Dr Kara Shirley Pllc
What is Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx's role at the current company?
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx's current role is Medical Leave and Recovery.
What is Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx's email address?
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx's email address is bc****@****hpw.org
What schools did Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx attend?
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx attended University Of Rhode Island, Mercer University, Ut Health San Antonio, Tunkhannock Area High School, Jewish Healthcare Foundation/pittsburgh Healthcare Initiative, University Of Colorado Skaggs School Of Pharmacy And Pharmaceutical Sciences.
What are some of Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx's interests?
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx has interest in Children, Economic Empowerment, Civil Rights And Social Action, Environment, Education, Human Rights, Animal Welfare, Arts And Culture.
What skills is Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx known for?
Kara Shirley Pharmd, Bcps, Bcpp, Bcacp, Cpgx has skills like Medication Therapy Management, Pharmacists, Clinical Research, Healthcare, Pharmacy, Psychiatry, Pharmacy Practice, Pharmacotherapy, Hospitals, Clinical Pharmacology, Immunization, Pharmacology.
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